Active NPI
My Clinical Coordinator LLC
- Family Nurse Practitioner
- Beltsville, MD
National Provider Identifier
1235730318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MY CLINICAL COORDINATOR LLC
- Practice address
- 11720 Belsville Drive
Suite 500-A44
Beltsville, MD 20705 - Phone
- (202) 813-0944
- NPI assigned
- Nov 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bianca Lee Williams, DNP
- Title
- Authorized Official
- Phone
- (202) 813-0944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
11720 Belsville Drive
Suite 500-A44
Beltsville, MD 20705
Mailing address
11720 Beltsville Dr Ste 500-A44
Beltsville, MD 20705-3166
Phone (202) 813-0944
Other names 1
- Doctor B The NP
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617235200000",
"number": "1235730318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 BELTSVILLE DR STE 500-A44",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053166",
"telephone_number": "202-813-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BELSVILLE DRIVE",
"address_2": "SUITE 500-A44",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "20705",
"telephone_number": "202-813-0944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY CLINICAL COORDINATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A",
"authorized_official_last_name": "LEE WILLIAMS",
"authorized_official_first_name": "BIANCA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "202-813-0944",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctor B The NP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Doctor B The NP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.